1. Combined Intra- and Extra-articular Reconstruction of the Anterior Cruciate Ligament: The Reconstruction of the Knee Anterolateral Ligament 
Camilo Partezani Helito, M.D., Marcelo Batista Bonadio, M.D., Riccardo Gomes Gobbi, M.D., Roberto Freire da Mota e Albuquerque, M.D., Ph.D., José Ricardo Pécora, M.D., Ph.D., Gilberto Luis Camanho, M.D., Ph.D., Marco Kawamura Demange, M.D., Ph.D. 
Arthroscopy Techniques 
Volume 4, Issue 3, Pages e239-e244 (June 2015)
DOI: /j.eats
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Triple semitendinosus and single gracilis graft prepared for combined anterior cruciate ligament (ACL) and anterolateral ligament (ALL) reconstruction. The part used to reconstruct the ACL is a quadruple graft, and the remaining part of the gracilis is used to reconstruct the ALL.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Lateral image of a left knee showing the anterolateral ligament reconstruction landmarks, including the Gerdy tubercle (GT), fibular head (FH), lateral epicondyle (asterisk), and tibial insertion point (dagger) of anterolateral ligament. The joint line is represented by the dotted line.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
(A) Clinical photograph of the anchor insertion at the femoral point of origin of the anterolateral ligament in a left knee. (B) The radiographic anchor insertion point is obtained using fluoroscopy on a true lateral view.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Lateral image of a left knee showing the tibial insertion point of the anterolateral ligament. Arrow 1 indicates the location for placement of the anchor that will be used for tibial fixation at approximately 7 mm below the joint line, which is represented by the tip of the forceps and arrow 2.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
Final view of a left knee showing reconstruction of the anterolateral ligament (ALL). The asterisk indicates the femoral tunnel through which the gracilis portion exits for ALL reconstruction. The ALL passes below the iliotibial tract (with the 2 dotted lines showing its path) and is fixed onto the tibia.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Three-dimensional computed tomographic reconstruction image showing final placement of femoral tunnel and tibial and femoral anchors for combined reconstruction of anterior cruciate ligament and anterolateral ligament.
Arthroscopy Techniques 2015 4, e239-e244DOI: ( /j.eats )
Copyright © 2015 Arthroscopy Association of North America Terms and Conditions